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Individual

NICOLE SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
4500 E CHERRY CREEK SOUTH DR STE 710, DENVER, CO 80246-1534
(303) 432-8487
Mailing address
1172 11TH RD, MARYSVILLE, KS 66508-8643
(785) 562-6077

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003436
CO

Other

Enumeration date
01/25/2019
Last updated
01/25/2019
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